EDISON MALL DENTAL P.A

FORT MYERS, FL
NPI1831500404
Entity TypeOrganization
Authorized ContactROSTISLAV KRASNOV
Dds
954-846-7171
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN16377)
Enumeration Date2014-05-16
Last Update Date2014-05-16
Business Address
EDISON MALL DENTAL P.A
4125 CLEVELAND AVE SUITE 1430
FORT MYERS, FL 33901-9046
Phone number: 954-846-7171
Mailing Address
EDISON MALL DENTAL P.A
4125 CLEVELAND AVE SUITE 1430
FORT MYERS, FL 33901-9046
Phone number: 954-846-7171
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